Br J Ophthalmol 88:333-335 doi:10.1136/bjo.2003.028258
  • Clinical science
    • Scientific reports

Patient preferences for anaesthesia management during cataract surgery

  1. D S Friedman1,
  2. S W Reeves2,
  3. E B Bass3,
  4. L H Lubomski1,
  5. L A Fleisher4,
  6. O D Schein1
  1. 1Department of Ophthalmology, Johns Hopkins University, Baltimore, MD, USA
  2. 2School of Medicine, Johns Hopkins University, Baltimore, MD, USA
  3. 3Department of Medicine, Department of Health Policy and Management, Johns Hopkins University, Baltimore, MD, USA
  4. 4Department of Anesthesiology, Johns Hopkins University, Baltimore, MD, USA
  1. Correspondence to: David S Friedman MD, MPH, 120 Wilmer Building, Johns Hopkins Hospital, 600 N Wolfe Street, Baltimore, MD 21287-9019, USA;
  • Accepted 2 July 2003


Background/aims: To assess patient preferences for different anaesthesia management strategies during cataract surgery.

Methods: Cross sectional clinic based study of patient preferences for anaesthesia management strategies. Patients rated their preferences using a linear rating scale from 0 to 100.

Results: Subjects tended to prefer block to topical anaesthesia and oral to intravenous sedation. On a scale from 0 to 100, subjects preferred oral to intravenous sedation and block to topical anaesthesia by about 8 points.

Conclusions: When given the choice of four different anaesthesia management strategies, 72% of the study subjects preferred block anaesthesia to topical anaesthesia. More patients chose to have oral sedation than intravenous sedation. These findings indicate that patients may prefer anaesthesia management approaches other than the ones they are currently being offered.


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